{extend name="Public:public_template" /}
{block name="container"}
<div class="main-container">
    <div class="current-location">
        {include file="public/current_location" /}
    </div>
    <div class="content-container">
       <form action="" method="post">
           <input type="hidden" name="__token__" value="{$Request.token}" />
           <table cellpadding="0" cellspacing="0">
               <tr>
                   <td class="td-width-15">用户名：</td>
                   <td class="text-align"><input type="text" name="info[username]" placeholder="请输入用户名"/><span class="red">*</span></td>
               </tr>
               <tr>
                   <td class="td-width-15">登录密码：</td>
                   <td class="text-align"><input type="password" name="info[password]" placeholder="请输入登录密码"/><span class="red">*</span></td>
               </tr>
               <tr>
                   <td class="td-width-15">确认密码：</td>
                   <td class="text-align"><input type="password" name="info[confirmpassword]" placeholder="请输入确认密码"/><span class="red">*</span></td>
               </tr>
               <tr>
                   <td class="td-width-15">手机号码：</td>
                   <td class="text-align"><input type="text" name="info[phone]" placeholder="请输入手机号码"/></td>
               </tr>
               <tr>
                   <td class="td-width-15">邮箱地址：</td>
                   <td class="text-align"><input type="text" name="info[email]" placeholder="请输入邮箱地址"/></td>
               </tr>
               <tr>
                   <td class="td-width-15">您的姓名：</td>
                   <td class="text-align"><input type="text" name="info[name]" placeholder="请输入您的姓名"/><span class="red">*</span></td>
               </tr>
               <tr>
                   <td class="td-width-15">积分：</td>
                   <td class="text-align"><input type="text" name="info[integral]" value="0" class="list-order" placeholder="请输入积分"/></td>
               </tr>
               <tr>
                   <td class="td-width-15">状态：</td>
                   <td class="text-align">
                       <label><input type="radio" name="info[status]" checked value="1"/>正常</label>
                       <label class="radio-left"><input type="radio" name="info[status]" value="0"/>禁用</label>
                   </td>
               </tr>
           </table>
           <div class="submit-button-form">
               <input type="submit" name="submit" value="提交数据">
           </div>
       </form>
    </div>
</div>
{/block}